CN-370000-CN217-T31CO1.pdf
PDF 8 MB Posted
- Contract number
- CN217
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 01) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN217 involving JGP Structural Group, Inc. The change order pertains to Task Assignment No. 31 for the Mizell-Johnson State Park Vehicular Bridges project (Project No. 61337C). The consultant representative is Jeffrey G. Parzych, PE, and the FDEP Contract Manager is Jeff Whitfield. The document was executed in May 2022 with signatures from FDEP budget, project management, and contract authority representatives, as well as the consultant.
The change order implements a time-only extension with no modification to the task budget. The original task amount of $46,152.00 (comprised of $1,587.00 in reimbursable expenses and $44,565.00 in fixed fees) remains unchanged. The original task end date of May 30, 2022 was extended by 240 days to December 31, 2022 to accommodate potential scheduling impacts from an ongoing beach replenishment project that could affect repairs to both bridges. No additional compensation was provided for this time extension, as noted in the supporting letter from JGP Structural Group dated May 5, 2022.
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Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
(Revised 9-26-2018) Page 1 of 1
Required Signatures: Adobe Signature
FDEP Contract No.: Task Assignment No.: Change Order No.: Project No.:
Project Location: Project Name:
Consultant Name:
Consultant Representative: Phone: Email:
FDEP Contract Manager: Phone: Email:
Description and Justification of Change:
Change in Task Amount:
Item Reimbursement Fixed Fee Total
Original Task Amount:
Task amount including all previous Change Orders:
Net increase/decrease in task amount for this Change Order:
Total Amounts with all Change Orders:
Change in Task Time:
Original Task Execution Date:
Original Task End Date:
Present Task End Date:
Net Change in Days:
New Task End Date:
Approval Signatures:
Budget Representative, FDEP Signature Date
Project Manager, FDEP Signature Date
Contract Manager, FDEP Signature Date
Consultant Signature Date
Contract Authority, FDEP Signature Date
Project # Grant # Org Code Cat/Year Fund Module Object Code EO Amount
29 Digit FLAIR Code: Total:
CN217 31 01 61337C
Mizell-Johnson State Park Vehicular Bridges 860160-860161
JGP Structural Group, Inc
Jeffrey G. Parzych, PE 850-574-2888 jeff@jgpstructural.com
Jeff Whitfield 850.245.2630 Jeffrey.Whitfield@FloridaDEP.gov
Time only extension to complete tasks per the attached request dated 5/5/22.
$ 1,587.00 $ 44,565.00 $ 46,152.00 $ 1,587.00 $ 44,565.00 $ 46,152.00
$ 0.00 $ 0.00 $ 0.00 $ 1,587.00 $ 44,565.00 $ 46,152.00
6/17/2021
5/30/2022
5/30/2022
12/31/2022
Diane Langston Diane Langston Digitally signed by Diane Langston Date: 2022.05.23 15:28:21 -04'00'
Theresa Carron T.Carron Digitally signed by T.Carron Date: 2022.05.23 15:29:58 -04'00'
Daavid Matson for Jeff Whitfield David Matson Digitally signed by David Matson Date: 2022.05.24 07:13:10 -04'00'
Jeff G. Parzych, PE Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2022.05.26 10:38:58 -04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.05.26 16:49:43 -04'00'
$ 0.00
Carron_T Text Box #31
File details come from the government source that posted it. Updated .